Individual
MS. DELLA LERTPENMAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4250 BROWNSVILLE RD, POWDER SPRINGS, GA 30127-2559
(678) 567-8000
(770) 439-3555
Mailing address
4250 BROWNSVILLE RD, POWDER SPRINGS, GA 30127-2559
(770) 920-2280
(770) 439-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN093485
GA
Other
Enumeration date
10/27/2005
Last updated
12/27/2013
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